| NPI | 1639913676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R CHOWN Founder/President 503-754-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |